Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.43 / $95.82 / $126.98	Facility		$50.43	$95.82	$126.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $69.68 / $8,112.00	Professional		$50.74	$69.68	$8,112.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $53.28 / $63.56	Facility		$50.74	$53.28	$63.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $50.43 / $50.74	Professional		$50.43	$50.43	$50.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $50.74 / $50.74	Facility		$49.28	$50.74	$50.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $50.74	Professional		$50.74	$50.74	$50.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $55.04 / $115.12	Professional		$50.74	$55.04	$115.12
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $53.69 / $53.69 / $53.69	Facility		$53.69	$53.69	$53.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $50.74	Professional		$50.74	$50.74	$50.74
United Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $56.83	Professional		$50.74	$50.74	$56.83